Green Mountain Development Registration Form

You have chosen to register for a Green Mountain Development (GMD) program. GMD offers two development camps as well as skill development clinics for the competitive / elite female hockey player entering grades 5 - Post Grad (PG's). Camp 1: Competitive Development Camp, July 29 - August 2, 2013 Ages: Girls entering grade 5 - Post Grad (PG's) in the Fall of 2013 Location: The University of Vermont, Burlington VT Price: $450-Day Camper / $650 Boarding Camper Players will be divided into teams consisting of 2 Goalies, 6 Defensemen and 9 forwards Camp 2: 1/2 Day Mini-Development Camp, August 11 - August 14, 2013 Location: The Hyannis Youth and Community Center (HYCC), Cape Cod--Barnstable, MA Price: $295-Day Camper Option ONLY!! Players will be divided into teams consisting of 2 Goalies, 6 Defensemen and 9 forwards Clinic 1: GMD Total Skills Clinic, June 24 - 27, 2013 Location: The Ice Factory of Central Florida, Kissimmee, FL Price: $295 and $145--Day Camper Option ONLY!! Players will be divided into groups according to which grade they enter in the coming academic year 2013-2014 Before registering please consider that each camp is designed for the competitive, serious, player who has a desire to play college hockey. These programs are not recommended for the recreational player. GMD seeks players who want to improve their skill level, receive exposure to NCAA and Prep school coaches, and are committed to working together in a team environment. Please select the camp you wish to register for and fill in the required fields below. You may only register for 1 camp at a time (sorry, google limits this capability). Once your registration form is submitted, you will receive an email confirming your registration. Questions or looking for more information? Please contact Green Mountain Development at: Grant Kimball - Owner/Director grant@greenmountaindevelopment.com 802-578-2214
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Player Information





























Parent/Guardian Contact Information












Other Information






Waiver of Liability



University of Vermont and Hyannis Youth and Community Center Acknowledgement



Health Forms

All players must complete a GMD Health Form prior to the start of any GMD program in order to participate. A link to our online health form will be emailed to you after full payment has been received or payment arrangements have been made.

Travel Planning

Players should not plan travel until they receive confirmation of enrollment. - Camp 1 starts on Monday July 29 and ends at the conclusion of the camper's final game, Friday August 2, 2013 sometime in the late afternoon. - Camp 2 starts on Sunday August 11 and ends at the conclusion the camper's final game Wednesday, August 14. - Clinic 1 starts on Monday, June 24 and ends Thursday, June 27, 2013. -Specific details regarding check-in times/location etc. for each camp/Clinic will be emailed to participants well in advance.

Registration Fees

Green Mountain Development program registration fee's & important information is as follows: Camp 1--Univ. of Vermont, Burlington, VT Day Camper - $450.00 Boarding Camper - $650.00 Camp 2--Cape Cod, Hyannis Youth and Community Center, Barnstable, MA Day Camper Option ONLY - $295.00 Clinic 1--The Ice Factory of Central Florida, Kissimmee, FL Day Camper Option Only - $295.00 - Groups 1 & 2 Day Camper Option Only - $145.00 - Group 3 Camp-1 Registration fees includes: -All coaching, training, ice-time, seminars, etc. -Boarding student fee of $650 includes all meals and housing costs -Day student fee of $450 includes meals of lunch and dinner ONLY, not housing. -Camp Jersey -Camp T-Shirt -Transportation to/from Burlington International Airport -Any transportation if necessary... Medical etc. Camp 2 Registration Fee of $295 includes: -All coaching, training, ice-time, seminars, etc. -Camp Jersey -Camp T-Shirt -Any local transportation if necessary... Medical etc. Clinic 1 Registration Fee of $295 or $145 includes: -All coaching, training, ice-time, seminars, etc. -Camp Jersey -Camp T-Shirt -FULL PAYMENT is required to complete your registration. -Payment may be made by Visa, Mastercard and Discover, personal check, bank check/cashier's check or money order and made out to Green Mountain Development or 'GMD' -A credit card convenience fee of 3.75% of the registration fee will be added to all credit / debit card orders -THERE ARE NO REFUNDS -Flexible payment plans may be arranged. Please contact our office to discuss options. -There will be a $25.00 charge on all returned checks for non-payment

LAST STEPS

1) Please review all information you have provided on this form for accuracy. If any of your information changes, please email those changes to grant@greenmountaindevelopment.com as there is no way to go back to your registration to make corrections after its been submitted. 2) By using the print function on your browser, print a copy of your entire GMD registration for your records and make a copy of the first page--you will need this for step 3. If you are unable to print one out, please contact our office and we can make arrangements to get you a copy. 3) Hit the 'Submit' button below to transmit your information to us electronically. 4) Mail in your full payment--check, money order or bank cashier's check, made payable to Green Mountain Development or 'GMD' along with a copy of the 1st page of your registration form. This is so we know which camper to apply your payment to. If paying by credit / debit card, please go to www.greenmountaindevelopment.com and click on the 'Credit Card Authorization Form' link to download the form. Fill in all required information and mail your authorization form, along with a copy of the 1st page of your registration. We will process your credit card as soon as we receive your form. Our mailing address is: Green Mountain Development c/o Grant Kimball 34 Brickyard Rd. UNIT #33 Essex Junction, VT 05452 5) After payment has been received, an email will be sent to confirm your spot has been secured. Additional camp information such as check-in / out procedures will be emailed well in advance of camp.

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